Medication management Flashcards
(33 cards)
What are the 6 rights?
- Right patient
- Right drug
- Right dose
- Right time
- Right route
- Right documentation
What information needs to be present on a drug chart before you can administer a medication?
- Patient’s name
- Patient’s date of birth
- Name of the drug
- Dose of the drug
- Time/frequency given
- Route
- Prescriber’s signature
What is meant by the term ‘beneficence?’ Give an example of how it is applied in practice.
Beneficence is an ethical principle that addresses the idea that a nurse’s action should promote good.
An example in practice might be carrying out an intervention, e.g. administrating a medication or dressing a wound for the good of the patient’s health.
What should you do when reporting a drug error?
- Notify the patient/remedy the harm
- Report to the line manager
- Record in patient notes
- Require a thorough and careful investigation at a local level
- Record on to medication error form
What does the NMC mean by ‘open and honest reporting? Why is it important?
The NMC encourages an ‘open culture’ to avoid people not coming forward and reporting drug errors. Historically, local disciplinary actions have often deterred open and honest reporting. It means common mistakes can be identified quickly, and measures can be implemented to minimise them in the future through training, process and policy review.
What type of drug interaction occurs when 2 drugs that normally produce the same effect are taken, resulting in an enhanced effect?
Potentiation
Protein binding (attachment of the drug to blood proteins) is an important consideration influencing ____________________
Distribution
Where should controlled drugs be stored?
In a dedicated locked cupboard
Which ethical principle does the concept of ‘consent’ go to the core of?
Autonomy
What is meant by the term ‘autonomy? Give an example of how it is applied in practice.
What is meant by the term ‘non-maleficence? Give an example of how it is applied in practice.
What is meant by the term ‘justice? Give an example of how it is applied in practice.
Examples of enteral routes?
- Oral
- Sublingual/buccal
- Rectal
What is oral administration?
Route of administration where a substance is taken through the mouth.
What is sublingual administration?
Sublingual administration is when medication is placed under the tongue to be absorbed by the body.
What is buccal administration?
Buccal administration involves the placement of the drug between the gums and the cheek
Examples of parenteral routes?
- Intravenous (IV)
- Intramuscular (IM)
- Subcutaneous (SC)
- Inhaled (Lungs)
Name 6 reliable sources for medication information.
- BNF
- NICE Guidance
- Trust Formulary
- Trust Medication Information Service
- Pharmacy Service
- National Library of Medicine
What should be your course of action as a qualified nurse if, during the administration of an IM injection, the syringe pops off the needle? You are left unsure of how much of the dose the patient actually received.
This would need to be reported as a drug error as you will not know how much of the medication made it into the muscle. You would need to wait until the next dose is due before attempting to administer again unless otherwise directed by the prescriber.
What does it mean to inject subcutaneously?
Injected into the subcutaneous fat tissue at a 45-degree angle.
What should you know about the drugs you provide? (5)
Indications
Contraindications
Dosage
Side effects
Rate of administration
What are the 4 routes of drug administration?
Percutaneous (bypasses digestive tract)
Pulmonary
Enteral
Parenteral
What should you do if a patch is given and BP drastically decreases?
Take the patch off.
How should you instruct the patient to take the pill when given buccally or sublingually?
Instruct patient to let the pill dissolve, do not swallow
